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97161 · Maryland · every payer

What every payer pays for 97161 in Maryland

Across 6 commercial payers in Maryland, the middle payer's median for 97161 (physical therapy evaluation, level 1 of 3) is $78.54 per session. Maryland Medicaid's fee-for-service rate, $70.69 per session, is 10% below that commercial median.

Updated 2026-10-08October 2026 filesSources: state fee schedule, CMS, price-transparency files

Commercial median
$78.54per session
Maryland Medicaid
$70.69
Medicare
$98.90+
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Payer mix

97161 in Maryland, by payer type

Medicare's physician fee schedule pays $98.90–$102.13 in Maryland across 2 localities.

Maryland Medicaid$70.69
Medicare$102.13$98.90 low
Commercial (6 payers)$78.54
UnitedHealthcare$78.54
Kaiser Permanente$97.47
per session. Commercial = median of payer medians, October 2026 files.
By payer

Each payer's 97161 rate in Maryland

PayerMedianPer hourRates (n)
UnitedHealthcareCommercial$78.54 per session—167
Kaiser PermanenteCommercial$97.47 per session—26
See every payer's 97161 rate in Maryland

Each commercial payer's median, p25–p75 and n, with Medicaid plan and Medicare Advantage rows. 7-day free trial.

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FAQ

Frequently asked questions

What do commercial payers pay for 97161 in Maryland?

The median of 6 payers' medians is $78.54 per session, from 249 published rates in the October 2026 files.

How does Maryland Medicaid compare with commercial insurance for 97161?

Maryland Medicaid pays $70.69 per session, 10% below the commercial median.

What does Medicare pay for 97161 in Maryland?

$98.90 to $102.13 on the RVU26B physician fee schedule (non-facility).

What does UnitedHealthcare pay for 97161 in Maryland?

UnitedHealthcare's median is $78.54 per session, from 167 rates and 684 providers.

What does Kaiser Permanente pay for 97161 in Maryland?

Kaiser Permanente's median is $97.47 per session, from 26 rates and 38 providers.